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RECEIVEDMailing:P.O.Box 176,Salida,CA 95368 <br /> a•^:%!r , 4612 Kiernan Court,Salida,CA 95368 <br /> UGeo=W. LowryInc. NOV 2 0 2015Phone:2095450791 FAX 209-545-2241 <br /> �'�� EPA#CAR000047019 <br /> ental Services DivisionCA Transporter Number 3844 <br /> ENVIRONMENTALCA License#75&518 <br /> HEALTH DEPARTMENT <br /> GENERATOR: '. Consolidated Manifest Invoice: 2 4 Z7 .t, <br /> Sete EPA 10#: � _1_s+� � �� Shipment Date:fi ti / <br /> Contact Person: �f r <br /> g { Driver Signature(Printed)"" r <br /> Name: �� 6r �� <br /> Address: tr 7l �-- �f, ,t,1' Truck# r f <br /> City,State,Zip: I r �"� r PO# <br /> Site Phone: <br /> Product Waste CA Manifest#0 Quantity units PriceAmount r I <br /> Code f <br /> iilop CRA Hazardous Waste Liquid(Used Oil):Lubricating 221 t Y Gal (j �t 4 <br /> Non-RCRA Hazardous Waste liquid(Used Oil):Industrial 221 6 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive An9mleze) 134 cat <br /> Non-RCRA Hazardous Waste Liquid(Oil&Wader) 221 Gal <br /> rt---• <br /> A. <-RC-RA Hazardous Waste Solids Contaminated with Used Oil 223 1 Dru n(st �7 <br /> Drained Used 00 Filter Drum(s) <br /> Empty Drum(s) <br /> Each <br /> Transportation&Truck Time HR <br /> Hazardous Test <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Uwoicel Terms:Accounts due on the 10th of ete month following month of purchase.Past due 'total <br /> accounts will be diarged a FINI MCE CHARGE at the PERIODIC RATE Of 14 2%per month,which is the ANNUAL PERCENTAGE RATE of 18%. tis <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantify and toxicity of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that alt Hazardous Waste listed on this Consolidated Manifest Receipt is profited to meet the Waste Codes as listed above. <br /> Note:George W.Lowry,Inc.hereby advises the Generator that X 's(Generator's signature) <br /> shipment of used oil may be transported to a facility that is required to comply with federal regulations applicable to management of used oil but that is <br /> not required to comply with the more stringent requirements applicable to hazardous waste management facilities. California facilities that handle or <br /> process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering certifications of flank integrity,and financial ass Des <br /> for closure and accidental releases. It is lawful to send used oil to out of state facilities that Comply only with the Federal used oil managerrtent stan- <br /> dards and not these more stringent requirements. <br /> This notification is for information only. Lowry Driver Signature X 1r f <br /> Signature of Generator,Representative or Agent of Generator: X `/3r E` (�l' <br /> 33 <br /> Greenleaf Environmental CRI Recycling <br /> 3474 Toyon Cr. 101 Hagen Drive <br /> Valley Springs,CA 95252 Woodville,Wi 54028 Hama: <br /> 209-7544600 715.698.3363 <br /> AL000�h'441i WIR000020761 Address: <br /> Recycling ,r/ <br /> R <br /> &Disposal - � City,state,Zip: <br /> Facilities ve`r�nk D(I Transfer 5300 Ramos Environmental <br /> Claus Road f ISIS S.River Road <br /> Riverbank,CA 96367 West Sacramento,CA 95691 Phone: <br /> 209.8635181 9163715747 <br /> CAL0000190817 CAD004003556 EPA ID: <br />